Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Samuel Wahl, MD

Individual provider Anatomic Pathology Physician · NPI 1710959093

Samuel Wahl, MD is a Pathology in New York, New York. Qualified in 1986, 40 years ago. Practices with East Side Medical PC, a 5-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
40
Licensed in
NY
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

100 E 77th St Ste 12
New York, NY 10021-1850
Phone: (212) 434-2361
Fax: (212) 434-4512
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anatomic Pathology Physician (primary) Taxonomy 207ZP0101X · Licence 179952 (NY)

Record details

NPI number1710959093
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 2, 2006
Last updated in NPPESJuly 13, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPATHOLOGY
Medical schoolOTHER
Graduated 1986 (40 years in practice)
Group practice East Side Medical Pc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in New York